用于治疗与非分叉型颈段颈动脉相关的动脉粥样硬化狭窄的颈动脉支架置入术。
Carotid artery stenting for atherosclerotic stenosis associated with non-bifurcating cervical carotid artery.
作者信息
Sasaki Tetsuo, Nagashima Hisashi, Oya Fusakazu, Satoh Daisuke, Kobayashi Shigeaki
机构信息
Interventional Neuroradiology Center, Aizawa Hospital, 2-5-1 Honjo, Matsumoto, Nagano 390-8510, Japan.
出版信息
Neurol Med Chir (Tokyo). 2013;53(4):228-32. doi: 10.2176/nmc.53.228.
A 68-year-old man presented with right cervical carotid artery stenosis manifesting as ipsilateral amaurosis fugax. Angiography showed non-bifurcating cervical carotid artery with atherosclerotic stenosis near the branching of the superior thyroid artery. Carotid artery stenting (CAS) was carried out using two balloons for embolic protection of the internal carotid artery and middle meningeal artery because the ophthalmic artery was supplied by the middle meningeal artery. No procedure-related complications or restenosis occurred after stenting. Non-bifurcating cervical carotid artery is a very rare anomaly, in which the branches of the external carotid artery directly arise from the common trunk of the carotid artery without forming a bifurcation. The present patient was successfully treated with CAS for atherosclerotic stenosis associated with non-bifurcating cervical carotid artery.
一名68岁男性因右侧颈总动脉狭窄伴同侧一过性黑矇就诊。血管造影显示非分叉型颈总动脉，在甲状腺上动脉分支附近存在动脉粥样硬化性狭窄。由于眼动脉由脑膜中动脉供血，因此采用双球囊进行颈动脉支架置入术（CAS），以对颈内动脉和脑膜中动脉进行栓子保护。支架置入术后未发生与手术相关的并发症或再狭窄。非分叉型颈总动脉是一种非常罕见的异常情况，即颈外动脉分支直接从颈动脉主干发出，不形成分叉。本例患者因非分叉型颈总动脉相关的动脉粥样硬化性狭窄成功接受了CAS治疗。
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